Enhanced recovery after surgery (ERAS) programs are gaining ground with recent data showing that they improve outcomes. The programs consist of multidisciplinary, evidence-based protocols implemented in the perioperative period to provide standardized patient care. Like other changes in healthcare delivery, adopting ERAS programs takes time and effort. Despite positive results…

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Creating a “Cost Conscious Culture Committee” helped Maine Medical Center (MMC) in Portland shave more than $1.8 million in operating costs from the beginning of 2014 to the end of 2015. Not only that, but during 2015, MMC’s perioperative services leaders were also involved in a $40 million expansion project…

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Editor's Note The Joint Commission announced on March 9 that the Michigan Health & Hospital Association and its member hospitals have partnered with the Joint Commission Center for Transforming Healthcare on a statewide high reliability organization improvement effort. Michigan is the second state to partner with the Center; South Carolina…

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Recommendations emerging from a data analytics project have helped OR leaders at Vanderbilt University Medical Center in Nashville, Tennessee, better anticipate daily surgical case volume and share that information with their managers. Data gleaned from the project are now being used to predict staffing needs for the OR, anesthesia department,…

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Surgeons often complain that their physician preference cards (PPCs) are not current, and keeping on top of the situation can be a struggle. Yet having accurate information on these cards greatly enhances both efficiency and patient safety, say surgical services leaders who have overhauled their systems. In this article, experts…

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Even the most experienced OR leaders often view physician preference cards (PPCs) as a beast that acts out and demands attention at the most inconvenient times. Two organizations that have managed to tame the PPC beast shared their experiences with OR Manager. Updating cards saves more than $3.2 million Tresa…

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Theoretical advantages exist for both block and nonblock scheduling. Facilities with enough space and staff may be able to schedule cases on the basis of patient and surgeon convenience, but that doesn’t work for facilities with less flexibility. At our facility, problems associated with first-come, first-served booking led to an…

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High reliability has now permeated the healthcare literature, but some clinicians are still unsure exactly what it means. A simple definition offered by Coleen Smith, MBA, RN, CPHQ, director of High Reliability Initiatives for the Joint Commission Center for Transforming Healthcare, is “excellence in patient care for every patient, every…

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Editor's Note Implementation of a surgical safety checklist was associated with a statistically significant 27% reduction in 90-day all cause postoperative mortality, while 30-day mortality remained unchanged in this study. The checklist was also associated with a reduction in length of stay but not 30-day readmission rates. This is the…

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Editor's Note Two home visits by a physician assistant (PA) in the week after discharge significantly reduced the chance that a cardiac surgery patient would be readmitted, finds this study presented January 26 at the annual meeting of the Society of Thoracic Surgeons. Of 1,185 patients analyzed, those who received…

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